Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.75 / $5,980.00 / $14,867.45	Facility		$1,136.75	$5,980.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.91 / $1,048.33 / $1,338.06	Professional		$905.91	$1,048.33	$1,338.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.04 / $1,188.04 / $1,964.18	Professional		$929.04	$1,188.04	$1,964.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.79 / $1,096.79 / $7,889.00	Professional		$1,096.79	$1,096.79	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,135.13	Facility		$640.00	$640.00	$1,135.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.18 / $1,233.78 / $2,229.07	Professional		$954.18	$1,233.78	$2,229.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $956.63 / $1,224.49 / $1,438.13	Professional		$956.63	$1,224.49	$1,438.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,037.40 / $1,303.83 / $1,962.58	Facility		$1,037.40	$1,303.83	$1,962.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,221.68 / $1,405.00 / $1,937.00	Professional		$1,221.68	$1,405.00	$1,937.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $940.40 / $1,260.80 / $4,430.51	Facility		$940.40	$1,260.80	$4,430.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $940.40 / $1,260.80 / $4,430.51	Professional		$940.40	$1,260.80	$4,430.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $740.96 / $1,170.33 / $1,887.18	Professional		$740.96	$1,170.33	$1,887.18